Individual
LYNN R WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD.011028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164704
—
LA
Enumeration date
07/10/2006
Last updated
04/14/2011
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